Ivan Wolfson (NPI# 1841358587, PAC ID# 4587679394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1841358587 |
PAC ID by PECOS | 4587679394 |
Professional Enrollment ID | I20060215000705 |
Full Name | Ivan Wolfson |
Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
Address |
375 Allens Ave Providence RI 02905-5010 |
Phone Number | 4014440400 |
Gender | M |
Credential | MD |
Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
Graduation Year | 1992 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 9335050962 |
Number of Group Practice Members | 39 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
375 Allens Ave, Providence, RI 02905-5010 | 4014440400 | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
Physicians | 64 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jenny R David | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 40 Candace St, Providence, RI 02908-3747 |
Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
Ekknoor K. Sahota | Internal Medicine | The Providence Community Health Centers Inc. | 100 Curtis St, Providence, RI 02909-3623 |
Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
Phina A Mayu | Nurse Practitioner | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
Nadine S Hewamudalige | Family Medicine | The Providence Community Health Centers Inc. | 239 Cranston St, Providence, RI 02907-2406 |
Stanley Block | Allergy/immunology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Sonal Patel | Family Medicine | The Providence Community Health Centers Inc. | 1 Warren Way, Providence, RI 02905-5000 |
Erick R Soria Galvarro Duran | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Tariq K Malik | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Street Address |
375 ALLENS AVE |
City | PROVIDENCE |
State | RI |
Zip | 02905-5010 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stanley Block | Allergy/immunology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Erick R Soria Galvarro Duran | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Tariq K Malik | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Emily M White | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Mark S Schnabel | Nurse Practitioner | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Jennifer Q. Fisher | Nurse Practitioner | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Desirae Heys | Nurse Practitioner | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Gwyneth Granton | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Altug Koymen | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Therese M Zink | Family Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
Find all physicians in zip 02905 |
City | PROVIDENCE |
Zip Code | 02905 |
Specialty | FAMILY PRACTICE |
City + Specialty | PROVIDENCE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Ivan Wolfson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.